Advances in the knowledge on the role of apoptosis repressor with caspase recruitment domain in hemorrhagic stroke

The apoptosis repressor with caspase recruitment domain(ARC)plays a critical role in extrinsic apoptosis initiation via death receptor ligands,physiological stress,infection response in a tissue-dependent manner,endoplasmic reticulum(ER)stress,genotoxic drugs,ionizing radiation,oxidative stress,and hypoxia.Recent studies have suggested that regulating apoptosis-related pathways can improve outcomes for patients with neurological diseases,such as hemorrhagic stroke.ARC expression is significantly correlated with acute cerebral hemorrhage.However,the mechanism by which it mediates the anti-apoptosis pathway remains poorly known.Here,we discuss the function of ARC in hemorrhagic stroke and argue that it could serve as an effective target for the treatment of hemorrhagic stroke.

Pulmonary Cladosporium infection coexisting with subcutaneous Corynespora cassiicola infection in a patient:A case report

BACKGROUND Cladosporium and Corynespora cassiicola(C.cassiicola)infections rarely occur in humans.Mutations in human caspase recruitment domain protein 9(CARD9)are reported to be associated with fungal diseases.Pulmonary Cladosporium infection coexisting with subcutaneous C.cassiicola infection in a patient with a CARD9 mutation has not been reported in the literature.CASE SUMMARY A 68-year-old male patient was hospitalized for hypertrophic erythema and deep ulcers on the left upper extremity.He was diagnosed with pneumonia caused by Cladosporium,as identified through bronchoalveolar lavage fluid analysis,and deep dermatophytosis caused by C.cassiicola,as identified through morphological characteristics of the wound secretion culture.He underwent antifungal therapy(voriconazole)and recovered successfully.He carried two mutations in CARD9(chr9:139266425 and chr9:139262240)and was therefore susceptible to fungal infections.CONCLUSION This case study is the first to report the coexistence of pulmonary Cladosporium infection and subcutaneous C.cassiicola infection in a patient with CARD9 mutation.Our findings will be helpful in enriching the phenotypic spectrum of fungal infections underlying CARD9 deficiency.

The Role of CARD9 in Metabolic Diseases

Caspase recruitment domain containing protein 9(CARD9)is an adaptor protein that plays a critical role in pattern recognition receptors(PRRs)-mediated activation of NF-kB and mitogen-activated protein kinase(MAPK).This elicits initiation of the pro・inflammatory cytokines and leads to inflammatory responses,which has been recognized as a critical contributor to chronic inflammation.Current researches demonstrate that CARD9 is strongly associated with metabolic diseases,such as obesity,insulin resistance,atherosclerosis and so on.In this review,we summarize CARD9 signaling pathway and the role of CARD9 in metabolic diseases.

Prediction of Crohn's disease aggression through NOD2/CARD15 gene sequencing in an Australian cohort

AIM: To investigate the association between mutations in oligomerisation domain 2/caspase recruitment domains 15 (NOD2/CARD15) and the natural history of Crohn’s disease (CD) to identify patients who would benefit from early aggressive medical intervention.